Individual
AMANDA A DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5435
Mailing address
1540 ANDREWS DR, PLEASANT HILL, IA 50327-7070
(515) 314-1352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19863
IA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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